Ventral (Abdominal Wall) Hernia
A protrusion through the front of the abdominal wall, including hernias that develop at the site of a prior surgical incision (incisional hernia).
Overview
A ventral hernia is a protrusion arising through a weak point in the muscles and connective tissue of the front abdominal wall. It may be congenital or result from prior surgery, in which case it is known as an incisional hernia, or a recurrent hernia if it has been repaired before.
This type of hernia can range from small and barely noticeable to large, affecting abdominal wall function and daily quality of life.
Common Symptoms
- A bulge in the abdominal wall that becomes more noticeable with straining or standing
- Localized pain or discomfort, especially with exertion
- A feeling of pressure or heaviness at the site of the bulge
Causes & Risk Factors
- Prior abdominal surgery (incisional hernia)
- Recurrence of a previously repaired hernia
- Excess weight and obesity
- General abdominal wall weakness or connective tissue disorders
- Multiple pregnancies
How It Is Diagnosed
- Clinical examination to determine the size and location of the hernia
- CT imaging in large, complex, or recurrent cases to plan surgery
- Ultrasound imaging in certain cases
When to See a Doctor
- When a new bulge appears near a previous surgical scar
- When the hernia's size or associated pain increases
- When planning significant weight-loss surgery, to assess the appropriate timing for hernia repair
Available Treatment Options
- Periodic monitoring in selected small, asymptomatic cases
- Open or laparoscopic surgical repair, which may include the use of surgical mesh to reinforce the abdominal wall
When Surgery May Be Considered
- When pain affects daily activities
- When the hernia progressively increases in size
- To reduce the risk of strangulation, especially in large or recurrent hernias
General Recovery Information
Recovery time depends on the hernia's size and the repair technique used
Larger hernias may require a longer recovery period and avoidance of exertion for several weeks
Regular post-operative follow-up helps detect any early signs of hernia recurrence
Potential Complications
- Bleeding or infection at the surgical site
- Fluid collections under the skin
- Mesh-related complications in rare cases
- Hernia recurrence
When Urgent Medical Evaluation Is Needed
- Sudden, severe pain with a visibly firm bulge
- Nausea, vomiting, or absence of bowel movements accompanying the hernia
- Discoloration of the skin over the hernia
Frequently Asked Questions
Is an incisional hernia common after surgery?
An incisional hernia can occur after any prior abdominal surgery, and its likelihood varies based on several patient- and surgery-related factors.
Related Conditions
Related Procedures
The information provided on this page is for educational purposes and does not replace individual medical evaluation.